Anti-RA057/11.51.1 [11.51.1]

Rheumatoid arthritis (RA) is a joint-destructive inflammatory disorder characterized by breach of self-tolerance and production of anti–cit-peptide/protein Abs (ACPA). In the RA synovium, ectopic germinal centers (GCs) support an autoantigen-driven immune response leading to local ACPA+ B cell differentiation (1, 2). Recently, we reported that autoreactive B cells highly mutated within ectopic GCs frequently target cit-histones (cit-H2A/B) contained in neutrophil extracellular traps (NETs) (3). Somatic hypermutation (SHM) within GCs introduces single-point mutations in the variable heavy (VH) and/or variable light (VL) region of unmutated (germline) BCR, thus regulating Ag-driven B cell affinity maturation (4). Additionally, SHM can introduce N-glycosylation sites…

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